Adolescent substance use requires approaches that address more than substance use alone. A new presentation featured in the scientific program of the 2nd Edition of International Conference on Addiction Medicine, Mental Health and Psychiatry explores how occupational therapy can contribute to multidisciplinary addiction treatment for young people in Singapore.
Presenter: David Abbott
Affiliation: Institute of Mental Health, Singapore
Presentation: Oral Presentation (In-Person)
Presentation Title: Developing the occupational therapy role within an adolescent addiction service in Singapore: Early findings from a multidisciplinary mandatory treatment programme
π¬ Understanding the Approach
The presentation examines the emerging role of occupational therapy within the 3E Youth Programme, a multidisciplinary adolescent addiction treatment programme involving addiction counselling, psychology, occupational therapy, and medical social work.
The programme focuses on the broader impact of substance use on adolescents' everyday lives, including:
• Daily routines and time use
• Social participation
• Leisure and meaningful activities
• Healthy habits
• Emotional regulation
• Occupational identity
• School participation and engagement
• Family relationships and coping strategies
The occupational therapy component was informed by the Model of Human Occupation (MOHO) and included 12 structured group sessions. Sessions combined practical activities, guided reflection, discussion, and structured worksheets.
π Early Observations
The programme is currently in its first implementation cycle. Early observations identified several challenges among participants, including disrupted routines, reduced occupational balance, limited engagement in leisure activities, difficulties with school participation, strained family relationships, and ineffective coping strategies.
The presentation also highlights that some adolescents in mandatory treatment may demonstrate limited readiness for change and may respond more readily to activity-based approaches than discussion-based interventions alone.
π‘ Why This Matters
Occupational therapy brings a distinct perspective to addiction services by examining how substance use affects everyday occupations, relationships, habits, routines, roles, and meaningful activities.
By integrating occupational therapy into multidisciplinary addiction care, clinicians can gain a broader understanding of the factors influencing both substance use and recovery.
π¨π¬ About David Abbott
David Abbott is an occupational therapist with more than 15 years of professional experience in the UK and Singapore. His background includes forensic services, alcohol services, inpatient and community mental health, addiction services, and psychiatry.
He currently works at the Institute of Mental Health in Singapore, providing assessments and supporting rehabilitation goals and life aspirations.
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